Provider Demographics
NPI:1639288996
Name:DAN FREELAND DO PA
Entity Type:Organization
Organization Name:DAN FREELAND DO PA
Other - Org Name:BEE CAVES FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-263-9072
Mailing Address - Street 1:1008 RANCH ROAD 620 S STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5633
Mailing Address - Country:US
Mailing Address - Phone:512-263-9072
Mailing Address - Fax:512-402-9057
Practice Address - Street 1:1008 RANCH ROAD 620 S STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5633
Practice Address - Country:US
Practice Address - Phone:512-263-9072
Practice Address - Fax:512-402-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0052NWOtherBCBS
TX0031RGOtherBCBS
TX00X290Medicare PIN